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SAN JOAQUIN COUh-Y <br />?a ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />94F OPS <br />-=PROGRAM VCJL <br />j^SQ JI�'- <br />PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:^ //L4- <br />Date: I <br />�� <br />Address: 3 )l �' t - City: <br />JP <br />* � L <br />A <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: Mg <br />,ifA/82_0 <br />SB180 Posted ❑ Yes Q No Pecmit Posted ❑ Yes ❑ No <br />Re -Inspection on or After: <br />.m OBSERVATIONS AND CO <br />_t <br />LL1 <br />tJ E KL _ <br />2L iia W <br />C t ! <br />S/ CRJf'/I <br />iI <br />Item/Location TemperatureI Rem /Location -' Temperature <br />' Food Safety Certification ., Facility Hot Water Temperature _ i <br />Name: Hand Sink: 'F Chlorine: <br />Exp. Date: a e Shing SI 'F Quat. A <br />Item / ovation ""`L. <br />c• <br />Warewashin <br />ppm 11 Heat: <br />the • <br />PPrn ir <br />Temperature <br />- <br />`F <br />,F <br />ived By/ Title: ' <br />pecialist: <br />FH <br />Phon <br />In: a <br />Time Opt: <br />-vs,� <br />Page of / <br />EHD 16-24 (2n° pg) 11/2109 FOOD PROGRAM OR CONTINUATION <br />